P54.0 vs R12
P54.0 (Neonatal hematemesis) compared with R12 (Heartburn), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. R12 carries an Excludes2 note covering P54.0: “newborn gastrointestinal hemorrhage (P54.0-P54.3)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| P54.0Neonatal hematemesis | R12Heartburn | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Neonatal hematemesis is a billable ICD-10-CM diagnosis code (P54.0). | Heartburn is a billable ICD-10-CM diagnosis code (R12). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources